Memorial Healthcare System created a patient-friendly daily hospital medication schedule to empower patients and their families by providing knowledge about the medications the patient will receive during their hospital stay. This increases patient and family involvement in care and allows them to partner with the healthcare team. The schedule is developed from the nursing medication administration record and put into patient-friendly terms. It has been well-received by patients and families, allowing them to better understand new medications, discuss medications with doctors, and help catch potential medication errors. The key to its success was input from a patient and family advisory board, piloting the schedule before full implementation, and receiving ongoing feedback from patients, staff, and hospital leadership.

1. Creation of a Patient-Friendly Daily Hospital Medication Schedule Rebecca Caschette, RN, MS Administrator of Quality & Patient Safety Memorial Healthcare System Hollywood, Florida Jodi Fredericks, Pharm.D., MBA Pharmacy Safety & Medication Officer Memorial Healthcare System Hollywood, Florida

2. Memorial Healthcare System

3. Memorial Healthcare System Not-for-profit public hospital 5 th largest public healthcare system in the country. 1,773 licensed beds Level 1 Trauma Center 4 Primary Care Centers Nursing Home Home Health Wound Care Cancer Institute and Breast Centers Urgent Care Center

4. Network for Healthcare Improvement (http://www.nrhi.org/downloads/system_quality_and_HCAHPS_scores_Q3_2006_to_Q2_2007UPDATED.pdf) Winner of the Premier Award for Quality (AFQ), June 9, 2010. One of only three healthcare systems nationwide to earn this distinction for leading healthcare organizations that provide efficient, outstanding patient care and consistently set the standard in clinical excellence.

5. The Best Companies To Work For in Florida program was created by Florida Trend Magazine and Best Companies. For the second consecutive year Memorial Healthcare System has been named one of Florida’s 100 Best Companies to Work For – and the top-ranked healthcare system on the list. The application was a two-part process. First, evaluating workplace policies, practices, philosophy, systems and demographics; and second, a confidential employee survey to measure employee satisfaction. The combined scores determined the top companies and the final ranking.

6. Objectives of Project To empower the patient and family members with knowledge about the medications the patient will receive while in the hospital To increase patient and family participation in care and knowledge/information about medications received while in the hospital To partner with and engage the patient and family members in becoming a vital part of the healthcare team in order to make the patient’s hospital stay safe

7. Patient-Friendly Daily Medication Schedule Created with the help of our IT Clinical Informatics Department Pulls from our nursing MAR but puts it in patient friendly terms Received input and feedback from our Patient and Family Advisory Board Presented to many different System Committees and to Hospital Leaders Newsletter articles to help publicize

10. Patient-Friendly Daily Medication Schedule Met with nursing leadership and nurse managers to provide education about the tool Staff were empowered to determine how to operationalize the new tool, with the understanding that the medication schedule must be distributed to each patient daily Provided in-services to nursing staff Rounded- Received feedback from patients, families, nursing, and other hospital staff

11. Patient Feedback

12. Patient Feedback Helps them learn about their medications Used to discuss new medications and to talk to doctor about their medications Provides them with information about their medications Now they know something about what they are taking while they are in the hospital Helped catch mistakes! They wish all hospitals would have this for them All very positive and excited about it

13. Keys to Success of the Project Patient and Family Advisory Board providing input and helping create the tool Piloting the tool in one unit of one hospital before going System-wide with the tool Receiving feedback from patients, families, nursing, and other hospital staff Support from Administration and Nursing Leadership Transparency

14. Summary A daily hospital medication schedule helps empower the patient with knowledge about the medications he/she will receive while in the hospital and increases patient and family participation in care. It also helps catch potential medication errors. The report is given out to ALL inpatients and/or their family members by the nurse on a daily basis.

15. We challenge you to partner with and engage the patient and family members in becoming a vital part of the healthcare team by giving them a daily hospital medication schedule.